Testicular Sperm Aspiration (TESA) – Treatment for Obstructive Azoospermia in New York City
If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating sexual, testicular, hormonal, urinary, and sexual problems in men. He has performed hundreds of penile and testicular surgeries, including testicular implants, varicocelectomy, spermatic cord denervation, adult circumcision, vasectomy, TESA, and many other procedures.
TESA (Testicular Sperm Aspiration): What You Need to Know
TESA (Testicular Sperm Aspiration) is a procedure that is performed for men with infertility caused by obstructive azoospermia.
TESA is appropriate in situations when there are a sufficient number of sperm in the testis, but they cannot get out due to obstruction.
The most common situation when TESA is performed is for men with a prior vasectomy who need sperm for IVF (In-vitro fertilization).
Sperm obtained via TESA can ONLY be used for IVF. It cannot be used for IUI (intra-uterine insemination).
TESA (Testicular Sperm Aspiration) should not be confused with similarly named procedures that are performed for different reasons, such as TESE (Testicular Sperm Extraction) or MicroTESE (microscopic TESE). TESE is usually performed for men with non-obstructive azoospermia (few sperm inside the testis).
Testicular fine-needle aspiration (TEFNA) is a procedure similar to TESA, except it uses a smaller needle and tends to retrieve fewer sperm.
TESA Procedure at New York Urology Specialists
- Typically, TESA is performed in our office under local anesthesia. It is possible to provide IV sedation anesthesia, but usually, it is unnecessary.
- Men’s health needs to be optimized to ensure optimal retrieval of sperm. Men with prior testosterone replacement (TRT) need to stop testosterone and transition to “sperm-safe” methods of raising testosterone levels (HCG, clomiphene, enclomiphene, etc.)
- There is no preparation necessary on the day of the procedure if it’s performed under local anesthesia.
- Local anesthetic is administered in the inguinal canal to provide a ‘spermatic cord block” which causes testicular anesthesia.
- An additional anesthetic is administered to the scrotal skin.
- The sperm is aspirated (retrieved) from the testicle with a needle.
- A dressing is applied to minimize bleeding.
Once the sperm is retrieved, it is placed in ‘sperm washing media.” We typically use Irvine Scientific sperm wash media, but some IVF centers prefer other media. The patient or his partner takes the specimen to their IVF center or semen storage facility (cryopreservation). This sperm can be used fresh for IVF or frozen for future use in IVF.
He helps men with infertility to achieve pregnancy. He is a specialist in interpreting semen analysis in men with infertility. He performs a testicular biopsy, MicroTESE, TESA, as well as varicocele repair.
How Successful is TESA?
Typically, 90% of the type adequate sperm can be retrieved via TESA from patients who are appropriate candidates for this procedure.
If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
Did you know? Dr. Shteynshlyuger has performed over 1,000 penile, scrotal, testicular, kidney, bladder, and prostate surgeries, including testicular implants, hydrocelectomy, varicocelectomy, scrotoplasty, circumcisions, circumcision revisions, frenuloplasty, penile implants, Urolift, prostate enucleation, correction of Peyronie’s disease, and congenital penile curvature. He performs 150-200 penile surgeries a year.
Where to Get Testicular Sperm Aspiration (TESA) in NYC?
At New York Urology Specialists, we offer treatment for male-factor infertility. Same-day virtual video appointments and in-person appointments are available.
Call/text today: 1-212-204-6300 or make an appointment online.
We perform penile procedures, varicocele and hydrocele repair, vasectomy reversal, and cosmetic circumcision. We offer treatment for missing testis, low testosterone, low sperm count, testicular pain, premature ejaculation, and male infertility. We treat sexual and erection problems and offer comprehensive STD testing for infections. We offer confidential appointments.
Our appointment costs are affordable with or without insurance. We offer free insurance verification.
We perform testicular ultrasound examinations in our office. We offer testosterone replacement therapy, vasectomy, Urolift procedure, Rezum water-vapor procedure in our office. We treat urinary and erection problems. We offer confidential appointments.
Read Real Stories of Men who Underwent Treatment at New York Urology Specialists.
Read RealStories: No pregnancy after unprotected sex for 6 years in a 36-year-old man.
Read RealStories: Left hydrocele with discomfort in a 49-year-old man.
Read RealStories: Left varicocele with pain for over 1 year in a 36-year-old man.
Read RealStories: 32-year-old man with a missing testicle treated with a testicular implant.
Cost of Male Infertility Treatment without Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
At New York Urology Specialists, we offer flat-fee, ‘all-costs-included’ procedures such as scrotal and testicular surgery, circumcision, no-scalpel vasectomy, testicular implant, vasectomy reversal, hydrocelectomy, varicocelectomy, and many more. The procedures are performed in our office under local anesthesia or sedation. Men from other states can save thousands of dollars over local hospital fees by coming to New York Urology Specialists for treatment. Please contact us for current prices and discounts for patients without insurance or with high insurance deductibles.
Cost of Treatment and Insurance
At New York Urology Specialists, we offer affordable treatment for men. Our prices are low for patients without insurance and for those who have high insurance copays, high deductibles, or insurance plans that do not cover treatment costs.
We accept many health insurance plans. We would be happy to verify your eligibility and benefits and provide you with detailed information on your health plan’s coverage. Financing options and credit options are available to help you pay for medical care.
Why Choose New York Urology Specialists for TESA, Male Infertility Evaluation and Treatment?
- All treatment is performed by a board-certified urologist experienced in treating men with male infertility, low sperm count, and idiopathic male infertility. We treat symptoms of erectile dysfunction, low testosterone, scrotal and testicular problems, premature ejaculation, testicular pain, and urinary problems using medical therapy, minimally invasive therapies, lasers, and surgery.
- We are one of the few practices in the region to offer a full range of options for the treatment of sexual, urinary, and erection problems in men.
- Experience – we see and treat many infertile men and couples. You are treated by board-certified urologists who are up-to-date on the latest advances in the field.
- Freedom to Choose Reproductive Endocrinologists – As an independent practice, you’re not forced to use a reproductive endocrinologist for the female partner who works with us. You are free to choose a reproductive endocrinologist of your choosing.
- We offer treatment options for testicular pain, penile problems, male infertility, Peyronie’s disease, prostatitis, enlarged prostate, frequent urination, overactive bladder, and prostate cancer in our office. Office procedures avoid the risks, costs, and recovery from general anesthesia.
- We offer diagnostic testing in our office, which avoids hospital costs.
- Extensive experience: Thousands of men have been treated successfully with varicocelectomy, hydrocelectomy, testicular implants, orchiectomy, epididymal cyst removal, scrotoplasty, circumcision, penoscrotal web correction, spermatic cord denervation.
- Confidential and Understanding Care. We understand that most of our patients desire privacy. We see patients with a variety of urological problems. Your reason for visiting us is entirely confidential.
- We are conveniently located within a 30-60 minute commute to men who are seeking treatment for scrotal swelling, testicular and penile problems, erectile dysfunction, enlarged prostate, urinary, and cancer treatment in Manhattan, Brooklyn, Queens, Staten Island, Westchester, Long Island, Bronx, and New Jersey.
What do Testicular Problems Look Like?
You can find pictures of testicular problems as well as before and after treatment images in our image gallery.
Scheduling Appointments for Treatment of Infertility and TESA in Men at New York Urology Specialists
If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
Dr. Shteynshlyuger MD is a board-certified urologist in NYC who specializes in treating sexual, testicular, hormonal, urinary, and sexual problems in men. He has performed hundreds of penile and testicular surgeries, including testicular implants, penile implants, varicocelectomy, hydrocelectomy, adult circumcision, circumcision revision, vasectomy, surgery for enlarged prostate, and many other procedures.
Treatment for Men With Fast Recovery at New York Urology Specialists
At New York Urology Specialists, our urologists are specially trained in evaluating and treating men’s health concerns, including infertility and low sperm problems, sexual problems, and urinary problems in men. We understand the challenges that penile problems and testicular problems create for our patients, their relationships, and their self-esteem. We help you find a treatment for penile problems and testicular problems, including appearance concerns, foreskin problems, premature ejaculation, testicular pain, and erectile dysfunction that fit your needs, lifestyle, and preferences.
Urologists are doctors specializing in the treatment of men with sexual problems that include penis problems, scrotal problems, and erectile dysfunction. By virtue of our experience and skill, we are able to offer an effective treatment option for nearly every man who desires an effective treatment for any problem that affects the penis. We offer medical and surgical treatment for men’s sexual problems.
We Treat Some of the Most Complex Men’s Health Problems Including:
- Erectile dysfunction in men for whom oral pills do not work.
- Enlarged prostate
- Penile skin adhesions
- Phimosis Treatment
- Penile Pain During Sex
- Impotence in men with diabetes.
- Vasectomy
- Premature Ejaculation
- Prostate Cancer.
- Infertility and low sperm count
- Peyronie’s Disease
- Burning during urination
- Premature Ejaculation
- Frequent urination
- Urinary retention
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Schedule an Appointment with Dr. Shteynshlyuger:If you have any questions, to schedule a consultation, please contact us or call/text: 1-212-204-6300.
We have excellent reviews from patients and their partners. Information for out-of-state and international patients. Find out our office hours or directions to our office.
We offer affordable appointment prices with or without insurance. Same-day virtual video appointments and in-person appointments are available.
